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APPLIChTIQP1 IdO. LJ C- ----__ ACCOUNT 1J0. �' =�"�.f . . <br /> �', <br /> MUKILTEO WATER DISTRICT <br /> SNOHOMISH COUNTY. WASHINGTON �� �� <br /> APPLICATIK3N FOR WAI'ER <br /> ldukilleo,Wa�hington—�L—.7�___--_ -_.. 1�_�1-- <br /> TO TH£ SUPEAII:TEIJDENT OF THE 1dUKILTEO VJkTEP, DISTRICi: <br /> I nereby apply lor the use ol H•ater in accordance with Ihe rulec and regulation� ei <br /> thc Nukillco VJatar District. <br /> �During the tir..e Ihat any aE the watcr mains may be taten up by r•��son o: ar.}• �r.' II <br /> provement authorized by tne Uistrict in o: cl any street, road or aliey �� ahich they ma, <br /> havc 6cen laid, the District wili not bc required lo iumi;h water c� .irg the p:oarecs oi <br /> such �mprov^menis lo ar.y _orsumer whose GUpply map lh�:. De cul e!!, m i.c Imble ior <br /> any damage for il,lailure;o�c do. <br /> Thc owncr shall bc 1ia61c lor any damaFcs to lhc scrvice wnncctian. <br /> PROPCItTY DLsckit�rior:: �i�o— r 3 �,.,�(e.we i <br /> ADDRE55:__�_D C� - I 1�1�` S: . L-L� <br /> State s�ze ot service 3� incn �—_�—��- <br /> S����.<L.�—nos beer.received u�ith this applirntior. <br /> � ' � <br /> Thr nremises are fo be usad os c ,��-✓�' L� �'-zti.-;.�T_ -- <br /> 1 r � . <br /> Piu•owner ol ihc premises is ��' Lli._`_v�E'"rY� � <br /> Tnc ugent is_ — <br /> The Dic::ic: :ecommendo in�tallc:ion oi c c c;ure repulalinG vclve. I <br /> kpp:ir�n� ackno�.vledoes �nfo:mat�on as to •the recommendation a�d . . I <br /> hcrecs to install a pre�sure repulatina valvc <br /> Siqned " _ ----- <br /> i��clines ic in,tall a Fressurc re3ula�ir.g valve <br /> Sianed 's ..i-� ��sL-C � _ <br /> 1� is undcrstnod that all connations, including mctcr anJ metcr Goz shall rcmain thc propert}�of <br /> \tukiltco 1Yatcr Uistrict. <br /> Sioned_ , Owner <br /> r,� ti { �7 c <br /> i.dd:ens� I JlJ �1^C-e. -�4'r. . <br /> G ` �+ <br /> (�',(', � 1. c.� �9vl�G�C _�-Y�.LI�x.�--JJ - _, A9en; <br />� <br /> � �rr�uJLT_�,, �7�,iER DiS),�a«��— — - --- �-- <br />